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Home My WebLink About1200 S French Ave 18-2056 HVACCITY OF S ANFORD FIRE DEPARTMENT 2 yup Building & Fire Prevention Division PERMIT APPLICATION Application No: / 0 of O�� Documented Construction Value: $ 4 -I of 1 O0 Job Address: I100 S . 6yenC h Av en u c Historic District: Yes❑No❑ Parcel ID: Residential❑ Commercial❑ Type of Work: New❑ Addition❑ Alteration❑ Repair❑ Demo❑ Change of Use❑ Move❑ Description of Work: ChQn�2 O(J 112 +b n Sv S ie M C A -C Plan Review Contact Person: ml <,:w %%A I Kf r Title: $A A- A 2� Phone: 401 CIO X ", Fax: ;%(;--)15--7753 Email: � I Si�GQy ?i tea hOO . Cdwt Property Owner Information Name Ttvo^ Vei qif r_ (I n�1 Phone: Street: V - M I W . i (.{ 1(bR n KN .S / Resident of property? City, State zip: W I n Ae r A a (►! F Z 3 a-� 8 9 Contractor Information Name 1112 V 1 !,I ITA l y t r z Street: —P0 6o's 391051 City, State zip: _011 +0(ict C—L 30--M Name Street: City, St, Zip: Bonding Company: Address: ND Phone: `f 0 7 • L100 -7 Sts Fax: 3810- 7? S . -77s3 State License No.: CAC /8) Y 10 OB Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6"' Edition (2017) Florida Building Code Revised: January 1, 2018 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate nd that all work will be done in compliance with all applicable laws regulating constructpnA'd zonin w7EfSignature of wner/Agent Date Print caner/ gent's Name � a Si f Notary -State of Mori& Date HELEN B. DOMINY NOTARY PUBLIC STATE OF FLORIDA Comm# FF188843 E pfres 1/12/2019 Owner/Agent is Yersonally Known to Me or Produced ID Type of ID r/Agent Date Contractor/Agent's Name Signa of Notary -State of HWO Y N B. DO INY ate NOTARY PUBLIC STATE OF FLORIDA Comm# FF188843 ME 51 Expires 1/12/2019 Contractor/Agent is ✓Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes ❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: Flood Zone: # of Stories: Plumbing - # of Fixtures # of Heads Fire Alarm Permit: Yes ❑ No ❑ UTILITIES: WASTE WATER: 11' BUILDING: Revised: January 1, 2018 Permit Application i f I 3 Mistic Air & Heat P.O. Box 391054 Deltona, FL 32739 Ph: (407) 322-5559 Ph: (386) 775-7751 Fax: 386-775-7753 Stgte License # CAC1814608 MF `: .-�, 4672 SILLTO ' 1Z 1OIJI� �-y j ❑ C.O.D. ❑ CHARGE ❑ NO CHARGE Tu PnVP Ig l e _ MAKE MAKE MODEL MODEL SERWLNUMBER SERIAL NUMBER NAMCi'1 rl �/ STRESc�I S Fr . n IV e i ..r..... E IRfyNIGE` A 0' C IS � ^� -WOR • E FOy gr�1.E.�0, GTY., _, �VO�S O ❑ RECOVERED OR * E E.. TLS'-- _ (� / -Z > SC n T- l F`� ' MO CONDENSING UN COND-SATE DRAINS LEVELED MAIN OERA1N PHONE CALLeEFORE U XM.. ❑ P.M. ❑ aEDYCAm CLEANEDD ODIL MEWWM 1/ flDLAPED ED CHARGE PAW,❑ ❑ RETURNED LEAK NCOR PANN OPAN WORN TO BE PERFOFatD ❑ DISPOSAL REPAIRED LEAK IN COPPER FURN.Ori FAN COIL ❑daMANRED TOTAL $ ❑ DnANDEDdIr/RFPIAx:ED OREF REPLACD BELT BOOR ADJUSTED EST s TE $E,VICE G 0 NT BESB T VOEr;.j1;} OR PERF• B /:?.�u"(�7 a GD REPLACED AL'xBSj REFRIGERANT R. .. LBS. ' ., 1. ... .fsGR Clot.�LP.U_-_\BELTSTED -. I'_2 `.S._ _J. �/.I J P � l._... �- I r gUCD ADJUSTED BSEP -RD REIRLAC EPLAOEO RCON MR BEARINGS GILD MOTOR RELW CAPACITOR OILEDBEARINGS CA tCROR HCFA�E%OCH. .----.._. - - -: - ' ...._._._._` - __ ____ ___ __. _._____--- _ CLEANED OR REDUCED _ XCHII - -------- -- r-- -- -�-- =�� REAANIRGED�T� pLEANEDOR nEPLACED FUSE REPUCED THERMOCOUPLE REPLACED REPAIRED VALVE COMPRESSOfl VALVE EVAPORATOa COIL VALE�IEGED —_..____.__........___....__.. ......-.._..______.__ ..._...-_L.__.___..__....__I_. I 1 ___....__.._.. 1 _._.__--..._.... -'*`---------'-- REPLACED CLE/WEO EXP. VgWE BURNERS t ADJUSTED EKP.VALVE DUCT REPLA W-TBE REPAIRED (AP UED ADJUSTED FILTERS xx REPAIRED THERMOSTAT COIL LEAN FILTERS x x _.___ ._. ,_ REPAIRED REPLACED COPPER CO. .83.: ADJUaTH) LEVELED COIL _ - BEMs —-- G B V S TOTAL MATERIALS ELECT.HTR. CLGTOWER REPLACED LINK CLEAND- REPIACDNIDC REFAIREDWIRE PUMP(S) ---------- _.______.._.._-._-1.......__._............_._ .............. .._.__._.__.__..__......._..- REDUCED CONE. GREASED REPAIRED FILTERS ❑DLFANeo ❑REw D MATUMALBaUDR1MYeE707pL LABOR CONTINUED ON OTHER SIDE LIMITED WARRANTY: All materials, parts and equipment are warranted by the manufacturers' or suppliers' written warranty only. All labor performed by the above named +- TOTAL TERMS company is warranted for 30 days or as otherwise indicated In writing. The above named MATERIALS TOTAL company makes no other warranties, express LABOR or implied, and its agents or technicians are not authorized to make any such warranties on behal`: Of above named company. ave I hauthority to order Ne work opltned above which has been sallSasta* compleled.l eB, ad. Seger retaNs 1109 to equipmenUmaleMUSfumished are final payment is made. If payment4nodtle as agreed, Sager ran remove said pdpmenVmatetleIs at Seders expanse. Airy damage reeVdng lmin TRAVEL said removal shelf not be Na mapons2 al selfer. CHARGE ED REGULAR ❑ WARRANTY ❑ SERVICE CONTRACT — //'' lLA S%!1/� TAX i G��Gl P_.. �T"M' TOTAL iVi dAitl2a810.WT111E WTe